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Dr. Douglas A Diekevers, DPM
Foot Surgery Podiatrist in Chicago, Illinois
NPI 1740259365

Douglas A Diekevers is a Foot Surgery Podiatrist based in Chicago, IL and is specialized in Foot Surgery. Douglas A Diekevers practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Douglas A Diekevers is 1740259365 and holds a License No. 016004442 (Illinois).

The current practice location address for Douglas A Diekevers is 3000 Halsted St, Chicago, IL and can be reached out via phone at 773-433-3130.

Location: 3000 Halsted St, Chicago, IL, 60657-9269
person
Provider Profile Details
NPI Number
1740259365
Provider Name
Douglas A Diekevers
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3000 Halsted St, Chicago, IL, 60657-9269
Phone Number
773-433-3130
Fax Number
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00251740 01 IL RAILROAD MEDICARE
60010806 01 IL BLUE CROSS BLUE SHIELD
93662603 01 IL UNITED HEALTHCARE
016004442 05 IL
institution
Provider Business Practice Location Address Details
Address
3000 Halsted St
City
State
Zip
60603-5902
Phone Number
773-433-3130
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Halsted St
City
State
Zip
60603-5902
Phone Number
773-433-3130
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016004442 (Illinois)
Definition
Definition to come...
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